The Salivary gland stone – single-step-procedure with the holmium laser and stent introduction at the ENT Clinic, Frankfurt (Oder)

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Authors

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery.
83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery.
Mainz,
16.-20.05.2012.
DÃ¼sseldorf: German Medical Science GMS Publishing House; 2012. Doc12hno60

Outline

Introduction: 5 Years, the salivary gland endoscopy at the clinic in Frankfurt (Oder) is established. Therefore approximately 180 endoscopies are organized annually. 2011 so far 24 salivary gland stones patients were treated. The holmium laser with the presented concept was used by 19 stones.

Methodology: The focus was the development of a short-time of treatment concept with 3 day-stationary stay and any peripheral straightforward follow-up. Comparing the extracorporal shock waves was tested lithotripsy, the ultrasonic contact lithotripsy, the extraction with the basket and the mechanical reduction with the cutter at Salivary gland stones up to maximum of 2 cm size using general anesthesia.

On all covered Salivary gland stones, the number of the revision surgeries, and the rate of complications with secondary Sialadenitis was recognised.

Search results: 19 Holmium laser lithotripsies were carried out after the previous results. No repeat surgeries were required under the concept of transient stent introduction and marsupialization. The gland removal was not necessary. 2 times the stent was drafted ahead of time. 3 Patients received one of Antibiosis longer-term (2 weeks).

Conclusions: The establishment of a treatment offer in the area Land Brandenburg could show good acceptance by the secure freedom of stone and low complication rate, as well as the possibility of follow-up by the ENT specialist because repeated Endoscopies were mostly not required and the sonographic aftercare is already established.

The most difficult represents the calculation of time to lithotripsy, we are seeing a great importance of the oraly sonography.